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.r <br /> KAPREALIAN ENGINEERING <br /> I N C O R P p R A T E 0 <br /> CHAIN OF CUST0DY <br /> SAMPLER SITE NAME 3 ADDRESS ANALYSES REQUESTED TURN AROUND TIME: <br /> o <br /> WITNESSING AGENCY <br /> x <br /> 1 <br /> NO. ~ <br /> SAMPLE OF SAMPLING h� R E M A R K S <br /> ID NO. DATE TIME SOIL WATE GR 8-COMP CONT. LOCATION I <br /> ylryw_ t 14/ti2/°f1 10:4 A rH tiM W i <br /> 'F�1- 7 AB <br /> ell <br /> 'rri'U'� �� � � � /r ✓ ��t /,�lY <br /> Relinquished by: (Signature) Date/Time Received by: (Sign4,ture) The following MUST BE completed by the laboratory accepting samples <br /> 1L v /O 13' for analysis: <br /> 1. Have all samples received for analysis been stored in ice? <br /> Relinquish by: (Signature) Date/Time Received by: (Signature) f' <br /> 2. Will samples remain refrigerated until analyzed? <br /> Relinquished by: (Signature) Date/Time Received by: (Signature) 3. Did any samples received for analysis have head space? <br /> 4. Were samples in appropriate containers and }properly packaged? <br /> Relinquished by: (Signature) Date/Time Received by: (Signature) 0 <br /> Signature Title Dat <br /> 2401 Sunwell I)riyc,Suile 4(X) <br /> Oxiciud,California 94520 <br /> TcL 510002.SlINk lax:SI0{i7.[Ka12 <br />